Edwardo D Verzola (NPI# 1245381201, PAC ID# 0446256580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1245381201 |
| PAC ID by PECOS | 0446256580 |
| Professional Enrollment ID | I20100125000392 |
| Full Name | Edwardo D Verzola |
| Organization Legal Name | MERCY CLINIC GASTROENTEROLOGY LLC |
| Address |
1390 Us Hwy 61 N1500 Mercy Clinic Gastroenterology Jeff Festus MO 63028-4137 |
| Phone Number | 6369378675 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 8628121795 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260023 | MERCY HOSPITAL JEFFERSON |
| Address | Phone | Organization |
|---|---|---|
| 1390 Us Hwy 61 N1500, Mercy Clinic Gastroenterology Jeff, Festus, MO 63028-4137 | 6369378675 | MERCY CLINIC GASTROENTEROLOGY LLC |
| 621 S New Ballas Rd, 437a, St Louis, MO 63141-8259 | 3142513880 | MERCY CLINIC GASTROENTEROLOGY LLC |
| Organization Legal Name | MERCY CLINIC GASTROENTEROLOGY LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Layla Hajjafar | Gastroenterology | Mercy Clinic Gastroenterology LLC | 200 Brevco Plz, Suite 208, Lake Saint Louis, MO 63367-2950 |
| David H Cort | Gastroenterology | Mercy Clinic Gastroenterology LLC | 755 Dunn Rd, Suite 150, Hazelwood, MO 63042-1753 |
| Muddasani B Reddy | Internal Medicine | Mercy Clinic Gastroenterology LLC | 615 S New Ballas Rd, Suite 1200, Saint Louis, MO 63141-8221 |
| Paul E Buse | Gastroenterology | Mercy Clinic Gastroenterology LLC | 615 S New Ballas Rd, Suite 1200, Saint Louis, MO 63141-8221 |
| Nicholas William Frederickson | Gastroenterology | Mercy Clinic Gastroenterology LLC | 901 Patients 1st Dr, Suite 3300, Washington, MO 63090-4700 |
| John R Douglas Peterson | Gastroenterology | Mercy Clinic Gastroenterology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| David S Lotsoff | Gastroenterology | Mercy Clinic Gastroenterology LLC | 615 S New Ballas Rd, Suite 1200, Saint Louis, MO 63141-8221 |
| Rebecca L Howard | Physician Assistant | Mercy Clinic Gastroenterology LLC | 615 S New Ballas Rd, Suite 1200, Saint Louis, MO 63141-8221 |
| Carl F Blatt Jr. | Gastroenterology | Mercy Clinic Gastroenterology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Sheetal Sharma | Gastroenterology | Mercy Clinic Gastroenterology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Street Address |
1390 US HWY 61 N1500 MERCY CLINIC GASTROENTEROLOGY JEFF |
| City | FESTUS |
| State | MO |
| Zip | 63028-4137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Salaber | Physician Assistant | Mercy Clinic Urology LLC | 1390 Us Hwy 61 N1500, Mercy Clinic Urology Jefferson, Festus, MO 63028-4137 |
| Youssef Assioun | Gastroenterology | Mercy Clinic Gastroenterology LLC | 1390 Us Hwy 61 N1500, Mercy Clinic Gastroenterology Jeff, Festus, MO 63028-4137 |
| Rajen H Doshi | Urology | Mercy Clinic Urology LLC | 1390 Us Hwy 61 N1500, Mercy Clinic Urology Jefferson, Festus, MO 63028-4137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah L Jensen | Dermatology | 1463 Hwy 61 B, Festus, MO 63028 | |
| Chandra B Dommaraju | Infectious Disease | 1400 Hwy 61 240b, Festus, MO 63028 | |
| Robert J Evens | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Paul H Wang | Psychologist, Clinical | 1400 Hwy 61 S, Festus, MO 63028 | |
| Kevin T Baumgartner | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Phillip J Ward | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Ashley P Schwendeman | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Mindy Kay Wortmann | Nurse Practitioner | Interventional Pain Institute, LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Steven A Harvey | Psychiatry | 23 N 6th St, My Place Residential Facility, Festus, MO 63028-1301 | |
| William W Clendenin | Psychiatry | 705 Moore St, Festus, MO 63028-1339 | |
| Find all physicians in zip 63028 | |||
| City | FESTUS |
| Zip Code | 63028 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | FESTUS + GASTROENTEROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.